After having been a general dental officer in the USAF for over 4 years, I completed specialty training in oral & maxillofacial surgery at the Air Force's largest hospital: Wilford Hall USAF Medical Center, Lackland AFB, TX. Currently in private practice in Tampa, Florida since 1989, the areas I am most interested in professionally are management of wisdom teeth, removal and replacement of back teeth with dental implants, and general anesthesia. I particularly enjoy working with teens because it is the easiest and least risky time to deal with wisdom teeth as well as the fact that they keep me perpetually young. It has been my goal to create for them the best experience with regard to their wisdom teeth as possible.My interest in general anesthesia over my career has been in creating a technique that renders the greatest control and the shortest, most comfortable recovery from an IV anesthetic. The result of my work over the past 10 years is that of creating a technique called QuickRecover IV Anesthesia that accomplishes each of these goals.Hobbies: photography, music (performance: oboe), outdoor activities including biking, hiking, golf, etc.

Dr. Theodore Grellner

male

Surgery - Oral & Maxillofacial

Tampa, FL

Insurance accepted as payment

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After having been a general dental officer in the USAF for over 4 years, I completed specialty training in oral & maxillofacial surgery at the Air Force's largest hospital: Wilford Hall USAF Medical Center, Lackland AFB, TX. Currently in private practice in Tampa, Florida since 1989, the areas I am most interested in professionally are management of wisdom teeth, removal and replacement of back teeth with dental implants, and general anesthesia. I particularly enjoy working with teens because it is the easiest and least risky time to deal with wisdom teeth as well as the fact that they keep me perpetually young. It has been my goal to create for them the best experience with regard to their wisdom teeth as possible.My interest in general anesthesia over my career has been in creating a technique that renders the greatest control and the shortest, most comfortable recovery from an IV anesthetic. The result of my work over the past 10 years is that of creating a technique called QuickRecover IV Anesthesia that accomplishes each of these goals.Hobbies: photography, music (performance: oboe), outdoor activities including biking, hiking, golf, etc.

... question is how quickly is the pain and swelling of the gum progressing? What you describe is most likely an infection.

The faster it worsens, the quicker your friend needs antibiotics from the dentist to treat it. While minor infections may resolve spontaneously with more thorough cleaning of the area, not all do. Over-the-counter pain meds only hide the pain warning of a looming problem.
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Since you were given this drug for an infection of some kind, it may depend on how quickly or completely your infection resolved with this med.

Since infections can be caused by multiple bacteria at once, this antibiotic may not treat all of them. Since alcohol can depress your immune system, if you have any signs of continued infection, you may want to avoid alcohol until resolved.
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Though I am not an ENT (Ear Nose Throat) doctor, the panoramic x-rays I commonly get as an oral surgeon can reveal masses in the maxillary sinus.

Abnormalities of these sinuses can range from a benign collection of mucus to chronic sinusitis to a malignant growth.
The CT will give him a better look; if it looks suspicious, the surgeon may need to explore the sinus to biopsy/remove the lesion.
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Pericoronitis is an infection of the gum covering a tooth that is not completely through the gum.
This can happen with any impacted tooth as it is becomes exposed to mouth with its bacteria.

Usually we associate it with wisdom teeth because they are the last teeth to come in.
Though the discomfort can subside without treatment, it can also turn into a nasty infection that requires antibiotics.
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Infections are tricky to treat since most of the time you don't know how aggressively they will need to be treated.

With a lag time of 2-3 days before you know whether the oral antibiotic chosen will be effective enough, how rapidly and severely the infection is worsening is your guide to the next step be it adding broader coverage of antibiotic, surgical drainage, extraction, or IV antibiotics.
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